Responsible for all of support services related to the financial clearance of patients according to established policies, procedures and objectives of the department. Works cooperatively with the department and other areas of the medical center to create a system of quality health care. Routinely interacts with staff, patients, other departments within the hospital, as well as off-site clinics and contact with payers.
Responsible for entering new and updated demographic and fiscal information accurately into the medical center's registration/billing computer systems to ensure proper billing.
Verifies insurance eligility and benefits via NEHEN, phone, fax or other on-line system.
Communicates clearly, concisely and effectively with the patient and patient's family. Contributes to a positive patient experience for patients and families through courteous phone greetings and registration activities. Demonstrates positive, proactive approach required for the implementation of new program and services which support department's goals and objectives.
Collaborates with physician's office to verify that valid managed care referrals are in place for OR procedures prior to the date of service.
Obtains and accurately documents prior authorizations for all elective admissions and O.R. procedures. All elective accounts must be worked at a minimum of 5 days prior to date of service.
High School diploma or GED required .
0-1 years related work experience required.
Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
Physical Nature of the Job:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally